Impact of the COVID-19-pandemic on thrombectomy services in Germany
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(2020) 2:44
Neurological Research and Practice
RESEARCH ARTICLE
Open Access
Impact of the COVID-19-pandemic on thrombectomy services in Germany Steffen Tiedt1,2†, Felix J. Bode3,4†, Timo Uphaus5†, Anna Alegiani6, Klaus Gröschel5†, Gabor C. Petzold3,4*† the GSR-ET investigators
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Abstract Background: The Coronavirus Disease 2019 (COVID-19) pandemic may have altered emergency workflows established to optimize the outcome of patients with large-vessel occlusion (LVO) stroke. Aims: We here analyzed workflow time intervals and functional outcomes of LVO patients treated with endovascular thrombectomy (ET) during the COVID-19 pandemic in Germany. Methods: We compared the frequency, pre- and intrahospital workflow time intervals, rates of reperfusion, and functional outcome of patients admitted from March 1st to May 31st 2020 with patients admitted during the same time interval in 2019 to 12 university and municipal hospitals across Germany (N = 795). Results: The number of LVO patients treated with ET between March to May 2020 was similar when compared to the same interval in 2019. Direct-to-center patients and patients admitted through interhospital transfer in 2020 showed similar pre- and intrahospital workflow time intervals compared to patients admitted in 2019, except for a longer door-to-groin time in patients admitted through interhospital transfer in 2020 (47 min vs 38 min, p = 0.005). Rates of reperfusion were not significantly different between 2020 and 2019. Functional outcome at discharge of LVO patients treated in 2020 was not significantly different compared to patients treated in 2019. Conclusion: Pre- and intrahospital workflows, ET efficacy, and functional outcome of LVO patients treated with ET were not affected during the COVID-19 pandemic in our large cohort from centers across Germany. Keywords: Stroke, COVID-19, Thrombectomy, Large vessel occlusion, Outcome
* Correspondence: [email protected] † Steffen Tiedt, Felix J. Bode, Timo Uphaus, Klaus Gröschel and Gabor C. Petzold contributed equally to this work. 3 Division of Vascular Neurology, Department of Neurology, University Hospital Bonn, Bonn, Germany 4 German Center for Neurodegenerative Diseases (DZNE), Bonn, Germany Full list of author information is available at the end of the article © The Author(s). 2020 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission d
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